<div action="createClaimSurvey" id="create_claim_survey_dialog" class="dialog adddialog none" style="margin-top: -263px; margin-left: -325px;">
	<input type="hidden" name="claimId" />
	<div class="dialogTitle">调查阶段信息</div>
	<button class="closeDiv">×</button>
	<div class="dialog_content">
		<div class="dialogDataLine"><div>调查机构：<input isNULL="1" codeName="调查机构" name="surveyMechanism" type="text"></div><div>调查人员：<input isNULL="1" codeName="调查人员" name="surveyMan" type="text"></div></div>
		<div class="dialogDataLine"><div>开始日期：<input class="startDate" isNULL="1" codeName="开始日期" name="startDate" readonly="readonly" onclick="WdatePicker({})" type="text"></div><div>结束日期：<input isNULL="1" codeName="结束日期" readonly="readonly" onclick="var date = $('#exception_surveys_dialog .startDate').val(); ;WdatePicker({minDate:date})" name="endDate" type="text"></div></div>
		<div class="dialogDataLine"><div>责任认定：<select name="liability" isNULL="1" codeName="责任认定"><option value="1">主责</option><option value="2">副责</option><option value="3">全责</option></select></div><div>事故认定：<select name="accidents" isNULL="1" codeName="事故认定" name="accidents"><option value="41">特大事故</option><option value="42">重大事故</option><option value="43">一般事故</option><option value="44">普通异常</option></select></div></div>
		<div class="dialogDataLine">调查经过描述：<textarea isNULL="1" codeName="调查经过描述"  name="process"></textarea></div>
		<div class="dialogDataLine">认定事故情况：<textarea isNULL="1" codeName="认定事故情况" name="situation"></textarea></div>
		<div class="dialogDataLine">认定事故原因：<textarea isNULL="1" codeName="认定事故原因" name="reason"></textarea></div>
		<div class="dialogDataLine">认定事故责任：<textarea isNULL="1" codeName="认定事故责任" name="blame"></textarea></div>
		<div class="dialogDataLine">提出整改措施：<textarea isNULL="1" codeName="提出整改措施" name="measures"></textarea></div>
		<div class="dialogDataLine">备注：<textarea isNULL="1" codeName="备注" name="remark"></textarea></div>
	</div>
	<div class="footerBtn ad_button">
		<div class="dialogBtn dialogHandlerBtn sure_yes">确定</div>
		<div class="dialogBtn dialogHandlerBtn sure_no">取消</div>
	</div>
</div>